Endovascular closure of a portocaval shunt after left lobe liver transplantation using an amplatzer muscular ventricular septal occluder device

✍ Scribed by Jeremy Durack; Nathan Bass; David Teitel; Robert Kerlan; John Roberts

• Publisher: John Wiley and Sons
• Year: 2011
• Tongue: English
• Weight: 350 KB
• Volume: 17
• Category: Article
• ISSN: 1527-6465
• DOI: 10.1002/lt.22217

✦ Synopsis

Surgical portocaval shunts have been used in smallfor-size living donor liver transplants, 1-4 but they may carry the risk of persistent hepatic encephalopathy. 5 As an alternative to surgical takedown, the endovascular closure of a portocaval anastomosis has been reported to reverse encephalopathy with a covered aortic endograft deployed in the inferior vena cava (IVC). 6 Here we demonstrate the feasibility and effectiveness of a minimally invasive endovascular technique for portocaval shunt closure using an Amplatzer muscular ventricular septal defect (VSD) occluder device.